21. A Bitter Pill: Welfare Reform And The Health Of Homeless People found independence, Chinua regaled his guests including his health care for the immigrant provisions of the House and Senate welfare reform measures would http://www.nhchc.org/Publications/bitterpill.htm

Last Updated: 25 November 2003 Because Health Care is a Right, Not a Privilege Home Research Clinical Resources Publications A Bitter Pill: Welfare Reform and the Health of Homeless People - July 1995 The National Health Care for the Homeless Council is pleased to make this Executive Summary available. The full report is available for $5.00 from the National Health Care for the Homeless Council, P.O. Box 68019, Nashville, TN 37206-8019. Executive Summary July 1995 The Federal Government will likely adopt significant welfare reform measures in 1995. A number of State governments have already made important changes to assistance programs for families and individuals, and in 1996 the focus of welfare reform efforts will shift to the States. Unfortunately, it is likely that these measures will exacerbate homelessness: Given the punitive nature of programmatic changes and the sharp decreases in funding for public welfare programs, it is probable that tens of thousands of Americans will lose cash benefits and, in short order, their homes. The publicly-funded resources which programs such as Health Care for the Homeless use to bring housing and stability to those living on the street are rapidly disappearing, severely limiting the positive impact of efforts to resolve homelessness and associated health problems.

22. Health Care And Medicaid to the creation of radio programming that encourages citizen action in several key health care issue areas. Supporting Families After welfare reform program is http://www.financeprojectinfo.org/win/healthcare.asp

Welfare Information Network IFDM Home Search About IFDM Site Map ... Go To TFP Health Care and Medicaid Resources Announcements TFP Publications Organizational Links Federal and Multi-State ... General Publications Health Care and Medicaid Issue Pages Access and Outreach Children's Health-General Publications Children's HealthSCHIP Implementation and Analysis Children's HealthGuidance on SCHIP ... The UninsuredReports and Statistics If you have any questions about the content of this page, please email Amanda Elk at aelk@financeproject.org General Resources Hot Topics Event Calendar Publications by The Finance Project ... www.financeproject.org. 1401 New York Avenue, NW Suite 800 Washington, DC 20005 Tel. 202-587-1000 Fax. 202-628-4205 Health Care and Medicaid Announcements The following new reports have just been published: Quality of Healthcare for Children and Adolescents: A Chartbook , The Commonwealth Fund, April 2004.

23. Health Care After Welfare -- 8/16/00 changes in state and local procedures, an unintended legacy of welfare reform may be The full version of the paper, also entitled health care After welfare An http://www.cbpp.org/8-16-00wel.htm

Revised August 16, 2000 Executive Summary Health Care after Welfare: An Update of Findings from State-Level Leaver Studies by Jocelyn Guyer Overview This Executive Summary: PDF Full Report: PDF To access these PDF files, right-click on the underlined text, click "Save Link As," download to your directory, and open document in Adobe Acrobat Reader. During the debate over the 1996 federal welfare law, a bipartisan consensus emerged that low-income families with children should not lose health care coverage as a result of changes in welfare policies. Congress therefore included a provision in the welfare law that "delinked" Medicaid and welfare eligibility, creating the opportunity for families to qualify for Medicaid regardless of their welfare status. Nevertheless, a growing body of evidence suggests that welfare policy changes in recent years have caused a loss of Medicaid among eligible low-income families with children. In this analysis, the Center has compiled the data available from more than 25 state "leaver" studies (which track how former welfare recipients are faring) conducted in the late 1990s on the health insurance status of parents and children after leaving welfare. The analysis shows that in most states with relevant studies, a significant proportion of both parents and children lose Medicaid after their families leave welfare. They also show that families leaving welfare have very limited access to private coverage. As a result, many of the children and even more of the parents in families leaving welfare become uninsured.

24. Colorado Welfare Reform TANF 2/28 Budget Tax, Child care, health, Legal, Reproductive health, Sanctions, Transportation. welfare reform in Colorado Contacts and Quick Links. http://carbon.cudenver.edu/public/cwr/

25. WKKF Knowledgebase - Welfare And Health Care Reform To Be Focus Of January 10th Title, welfare and health care reform To Be Focus of January 10th Conference. Links, PDF welfare and health care reform To Be Focus of January 10th Conference. http://www.wkkf.org/Knowledgebase/Pubs/ResourceOverview.aspx?CID=162&ID=3620

26. The Heartland Institute - From Welfare Reform To Medicaid Reform - By Joe Moser Giving people the opportunity and incentives to improve their economic condition can work for health care as well as it did for welfare reform in the 1990s.”. http://www.heartland.org/Article.cfm?artId=11804

27. Family Independence Program And Welfare Reform and media groups as well as welfare beneficiaries be worse off than they were before reform. care assistance without time limits health care coverage without http://www.dhs.state.ri.us/dhs/dfipref.htm

Home DHS Home Page Site Map Search Welfare Reform Passage of the FIA was the culmination of nearly a year and a half of public debate including an extensive community input process which involved local community, advocates, businesses, and media groups as well as welfare beneficiaries. More than 900 individuals participated in the public meetings and more than 175 came forward to state their concerns. The Family Independence Act is based on the principle that children who receive assistance should never be worse off than they were before reform. The Family Independence Program (FIP), implemented according to law under the new FIA on May 1, 1997, has several components which help to differentiate it from the old program including: A five-year time limit on cash assistance for adults. Children may continue to receive benefits. Work requirements with work supports as follows: - Preparation for workforce - Child care assistance without time limits - Health care coverage without time limits - Earned income disregards, which allow

28. NGA Center For Best Practices training, substance abuse and mental health treatment, child care and transportation. to the emerging challenges and opportunities in welfare reform. http://www.nga.org/center/topics/1,1188,D_406,00.html

NGA Home Center Home Governors News Room ... Multimedia Latest Documents Building Bridges to Self-Sufficiency With labor market demand for low-wage earners continuing to grow, policymakers are trying to address... Child and Youth Well-Being Under Welfare Reform: State Policy Options This issue brief highlights what some states have done since welfare reform to track and... Child and Youth Well-Being Under Welfare Reform: Recent Research How are children and youth faring since welfare reform? This issue brief reviews available research... Human Services Program Fact Sheets There are several federal programs that seek to support low-income families and children become self... Increasing Access to Housing for Low-Income Families The housing needs of low-income families are growing across the nation. Greater labor force participation... The Evolving Nature of Welfare Reform: Where We Stand on the Eve of Reauthorization The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 dramatically transformed the nature... Federal Performance Management Provisions Among Workforce, Education, and Human Service Programs

29. Families USA: Families USA Media Center May 13,1999. welfare reform Leaves Hundreds of Thousands Without health care Coverage. Three In Five Who Lost Coverage Were Children Under Age 19. http://www.familiesusa.org/site/PageServer?pagename=media_press_1999_uninpr

30. Patchwork Policies: State Assistance For Immigrants Under Welfare Reform Federal welfare reform and the Devolution of Immigrant Policy PRWORA s Immigrant Restrictions Costs States Are More Likely to Provide health care than Cash http://newfederalism.urban.org/html/occa24.html

Patchwork Policies: State Assistance for Immigrants under Welfare Reform Author(s): Wendy Zimmermann Karen C. Tumlin Other Availability: PDF Order Online Printer-Friendly Version Published: April 01, 1999 Citation URL: http://www.urban.org/url.cfm?ID=309007 Assessing the New Federalism is a multiyear Urban Institute project designed to analyze the devolution of responsibility for social programs from the federal government to the states, focusing primarily on health care, income security, employment and training programs, and social services. Researchers monitor program changes and fiscal developments. In collaboration with Child trends, the project studies changes in family well-being. The project aims to provide timely, nonpartisan information to inform public debate and to help state and local decisionmakers carry out their new responsibilities more effectively. Key components of the project include a household survey, studies of policies in 13 states, and a database with information on all states and the District of Columbia, available at the Urban Institute's web site. This paper is one in a series of occasional papers analyzing information from these and other sources. The nonpartisan Urban Institute publishes studies, reports, and books on timely topics worthy of public consideration. The views expressed are those of the authors and should not be attributed to the Urban Institute, its trustees, or its funders.

31. Background On Health Care medical care in welfare reform; Trust Fund in Budget Economy MANAGED care Background. HR 2362, Uninsured Act. Against managed care. Against health reform. http://www.issues2000.org/Background_Health_Care.htm

Background on Health Care Comprehensive national health care reform died in Congress in 1994 (after a report by a commission run by Hillary Clinton). 16% of Americans (42 million people) have no health insurance (and hence must pay for health services in full, or receive hospital charity). 14% of Americans receive some form of public health care or health insurance (70% have private health insurance). 20% of Americans are members of Health Maintenance Organizations (HMOs). PATIENT’S BILL OF RIGHTS Congress and the Presidential candidates are debating a ‘Patient’s Bill of Rights’ which would establish rules of dealing with HMO managed care. The buzzwords in this debate are: External Appeal: Patients cannot currently appeal an HMO’s decision to deny coverage, even if the HMO doctor agrees with the patient. The ‘Bill of Rights’ would establish some form of expert appeal board external to the HMO. Medical Necessity: At issue is whether the doctor or the HMO management determines what is necessary. Determination of ‘necessity’ may become subject to expert review as well, or it may become measured against established standards of ‘generally accepted practices.’ Legal Liability: Patients would be granted the right to sue HMOs for medical costs and damages, which is not a right under current law. Generally, liberals supoprt the right to sue HMOs while conservatives do not. This is the primary distinction between Republican and Democrat versions of Patient Bill of Rights proposals.

32. Redirect To DHS NorthStar MFIP) helped pay for her health care and child care expenses while she earned a paycheck. MFIP is now the basis for statewide welfare reform in Minnesota and http://www.dhs.state.mn.us/ecs/welfare/default.htm

33. California Council Of Churches - Health Care Workshops Return to Home. Can We Make welfare reform Work? The California Religious Community Capacity Study. Can We Make welfare reform Work? http://www.calchurches.org/WelfareRpt.html

Return to Home Can We Make Welfare Reform Work? The California Religious Community Capacity Study Can We Make Welfare Reform Work? The California Religious Community Capacity Study is the culmination of two years of research spearheaded by the California Council of Churches in partnership with the University of Southern California Center for Religion and Civic Culture and the University of San Francisco Institute for Nonprofit Organization Management. The study is the largest statewide study of its kind and will have a significant impact on the national welfare reform reauthorization debate that begins early in 2001 in Washington. Download the Report: Final Report - Contains Executive Summary and Recommendations to the Public Sector and the Religious Community. (22 pages) Technical Report - Contains full text of final report, plus Qualitative and Quantitative findings reports. (94 pages) Report Cover Acknowledgements Or view the Final Report,

34. Welfare Reform health care utilization, child care arrangements, child engagement, family routines, mental health, positive behaviors Go to welfare reform Created September 7 http://www.census.gov/hhes/www/welfare/appndxb.html

Welfare Reform Appendix B: Additional Topic Areas for Which Data Can Be Matched to the Longitudinal File Source: U.S. Census Bureau Contact the HHES Statistical Information Staff at 301-763-3242 or mail to hhes-info@census.gov for further information. Go to Welfare Reform Created: September 7, 2001 Last Revised: August 22, 2002 Census 2000 Subjects A to Z Search Product Catalog ... Home

35. Public Policy Issues, National Welfare Reform And Healthcare Reform Conference distributed copies of a press release announcing the results of a survey on public attitudes toward welfare reform and the nation s health care system. http://www.ianr.unl.edu/nafcs/polrefo.htm

PUBLIC POLICY ISSUES UPDATE January 1999 NATIONAL WELFARE REFORM AND HEALTHCARE REFORM CONFERENCE On January 13, 1999, the W. K. Kellogg Foundation held a conference at the National Press Club in Washington DC to discuss welfare and healthcare reform. A representative from AAFCS attended this conference. Presentations were made on the present state of both healthcare and welfare in the United States. Additionally, the foundation distributed copies of a press release announcing the results of a survey on public attitudes toward welfare reform and the nation's health care system. Generally, the survey found that Americans support changes in the health and welfare system that are designed to help families successfully complete the transition from welfare to work. The majority of those surveyed believe that the "working poor" should be eligible for the same benefits as those making the transition from welfare to work. There is also strong support for government social services to be provided to those who cannot care for themselves, including the elderly, children, and people with disabilities. "We believe this survey demonstrates that Americans have a pragmatic compassion toward helping people make the transition from public assistance to the world of work," said William C. Richardson, President and Chief Executive Office of the W. K. Kellogg Foundation. "Americans are not willing to judge the success of reform efforts merely on the basis of a reduction in the numbers of those receiving public income support. They realize that work supports - getting and keeping people employed so they can support their families - require investments in child care, housing, basic education, sills training, and transportation."

36. PPI: Welfare Reform Stalled In The Senate Once Again By Lyn A. Hogan education policy (school choice, standards and accountability), workbased welfare reform, federal budget strategies, trade policy, health care reform, and New http://www.ppionline.org/ppi_ci.cfm?knlgAreaID=127&subsecID=176&contentID=2082

37. Entrez PubMed care reform*; Human; Insurance, health/statistics numerical data; Insurance, health/trends*; Medicaid/statistics numerical data; Medicaid/trends*; Social welfare/ http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1

38. Issue In Depth: Welfare Reform And Poverty welfare reform One Size Doesn t Fit All, Urban harder for parents recently leaving welfare to find the very services – such as health care, education and http://www.movingideas.org/issuesindepth/welfare.html

LIBERAL LINKS! -Must-Reads -Blogs -Advocacy and Action ... Media Resources Features: From Our Members On The Hill In The Fight Issues In Depth ... Contact Moving Ideas Network is a project of The American Prospect What's on TAP: What Reagan Taught Bush by David Lytel Welfare Reform and Poverty Background In 1996, Congress passed the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) and changed the face of welfare policy in the United States. The new legislation ended Aid to Families with Dependent Children (AFDC) and replaced it with Temporary Assistance for Needy Families (TANF), a federal block grant with the goal of promoting self-sufficiency among those members of the population receiving public assistance. Welfare Reform: An Issue Overview , Policy Almanac. Historical Poverty Tables , U.S. Bureau of the Census. Congress ended AFDC in the midst of a national economic boom - In the mid-1990s, Gross Domestic Product (GDP) was growing at 4% a year, with almost full employment and very low inflation. - Productivity increased from 1.5% in the first half of the decade to 2.5% in the latter part (Bureau of Labor Statistics).

39. What Extension Can Offer To Welfare Reform a bill to end welfare as we know it. welfare reform simply stated to gain the work and personal skills, services (like transportation, health care, and child http://www.cyfernet.org/welfare/extwelfare.html

What Extension Can Offer to Welfare Reform Karen DeBord, Ph.D. State Specialist, Child Development North Carolina Cooperative Extension Service Welfare and reform are two key words used by state and federal policy makers today. In 1996, President Clinton signed into law a bill to "end welfare as we know it." Welfare reform simply stated has to do with assisting people who are in poverty to gain the work and personal skills, services (like transportation, health care, and child care) and self-confidence to become self-sufficient. Much of this takes rethinking of policy and procedure as well as educational approaches and community organization. Cooperative Extension has a responsibility and a role to play in Welfare Reform. Each state has one or two land grant universities that provide access to research-based information and local resources to extend educational resources to people in communities. Extension has a local presence in communities and access through electronic connections to a wealth of resources shared by Extension systems across the nation. There are primary functions that seem to build upon the strength of the Extension system and interface with the needs in the welfare reform efforts to find ways to empower families and communities struggling with poverty. Extension is a part of the effort to move people from welfare to well-being! In order to be truly effective in meeting the challenge of reforming the welfare system and meeting the needs of families in poverty, community collaboration is necessary now more than ever before. Communities are called upon to work together without regard to professional turf in order to achieve reform goals. Single agency approaches often lack creative collaboration and a community foundation of support to meet broad based need.

40. Implications For Family Planning Of Post-Welfare Reform Insurance Trends causes and effects are not yet completely clear, welfare reform is likely women needing family planning services and for the health care professionals seeking http://www.agi-usa.org/pubs/journals/gr020606.html

Volume 2, No. 6, December 1999 This article is also available in PDF format Special Analysis Implications for Family Planning of Post-Welfare Reform Insurance Trends New tabulations by The Alan Guttmacher Institute of Census Bureau data show that between 1994 and 1998, the proportion of American women of reproductive age enrolled in Medicaid fell by 21%. By 1998, nearly one in five American women of reproductive age lacked insurance of any kind. While the precise causes and effects are not yet completely clear, welfare reform is likely to have played a major role in these developments, which have important implications both for women needing family planning services and for the health care professionals seeking to serve them. By Rachel Benson Gold Historically, eligibility for Medicaidthe joint federal-state health insurance program for very poor Americanswas tied to eligibility for cash assistance under the Aid to Families with Dependent Children program, commonly known as public assistance or welfare. Families who met the eligibility requirements for welfare were automatically enrolled in Medicaid; in most cases, there were neither separate requirements nor a discrete Medicaid enrollment process. With passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996welfare reformCongress ended the decades-old entitlement to public assistance, instead placing a time limit on a family's eligibility for aid. As the legislation took shape, health care advocates were concerned that as a result of losing welfare benefits, large numbers of families would automatically lose their Medicaid coverage as well.

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